Individual
RICHMOND BODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 VINELAND RD, SUITE 103, ORLANDO, FL 32811-7375
(407) 426-7066
(407) 426-0556
Mailing address
4501 VINELAND RD, SUITE 103, ORLANDO, FL 32811-7375
(407) 426-7066
(407) 426-0556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL#4048
FL
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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